The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study

The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study

The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study

Non-communicable diseases (NCDs) are common among older people and have been found to increase the risks of health. An effective health investment could prevent health deterioration and reduce health inequalities among older people. Since 2011, China has achieved nearly universal coverage of health insurance for older people. However, different levels of economic development across China and different health insurance schemes among older people have determined the unequal distribution of health investments for older people which could result in increment of health inequalities. This study uses the micro level (individual) from Chinese Longitudinal Healthy Longevity Survey 2014 (6,455 respondents) linked with macro level (province) data from Chinese Statistics Yearbook to explore the effectiveness of health investment on NCDs among older people in China. At the individual level, we study the effect of different health insurance schemes on number of chronic diseases among older people to understand how different rates of reimbursement of medical services from health different insurance schemes could contribute health inequalities in later life; at the province level, health investment from the state vary across China, we study whether the effect of state health investment could mediate the health inequalities among older people. The results show that different health insurance schemes have different effect on number of chronic diseases among older people; Province with higher percentage of public health expenditure in revenue is associated with less number of chronic diseases among older people. This implicates that health investment from government has prevent health deterioration among older people in China.

Feng, Zhixin

33c0073f-a67c-4d8a-9fea-5a502420e589

Liu, Xiaoting

a69c3d2b-0527-4587-bc89-432c985f8254

2018

Feng, Zhixin

33c0073f-a67c-4d8a-9fea-5a502420e589

Liu, Xiaoting

a69c3d2b-0527-4587-bc89-432c985f8254

Feng, Zhixin and Liu, Xiaoting(2018)The effectiveness of health investment on non-communicable diseases (NCDs) among older people in China: a multilevel study.
In Gerontological Society of America Conference.

Record type:
Conference or Workshop Item
(Paper)

Abstract

Non-communicable diseases (NCDs) are common among older people and have been found to increase the risks of health. An effective health investment could prevent health deterioration and reduce health inequalities among older people. Since 2011, China has achieved nearly universal coverage of health insurance for older people. However, different levels of economic development across China and different health insurance schemes among older people have determined the unequal distribution of health investments for older people which could result in increment of health inequalities. This study uses the micro level (individual) from Chinese Longitudinal Healthy Longevity Survey 2014 (6,455 respondents) linked with macro level (province) data from Chinese Statistics Yearbook to explore the effectiveness of health investment on NCDs among older people in China. At the individual level, we study the effect of different health insurance schemes on number of chronic diseases among older people to understand how different rates of reimbursement of medical services from health different insurance schemes could contribute health inequalities in later life; at the province level, health investment from the state vary across China, we study whether the effect of state health investment could mediate the health inequalities among older people. The results show that different health insurance schemes have different effect on number of chronic diseases among older people; Province with higher percentage of public health expenditure in revenue is associated with less number of chronic diseases among older people. This implicates that health investment from government has prevent health deterioration among older people in China.